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APN 021-200-23 <br /> • Parcel Address <br /> Please use the back of this page if additional space is required. <br /> 1. Please list or restate any special conditions we should observe while on your property <br /> 2. Owner contact telephone no. (please specify day or evening): <br /> 3. If you have tenants or lessees on the referenced property, please complete the following <br /> so that we can notify them prior to field activities: <br /> Tenant name(s): <br /> First Name Last Name <br /> Tenant mailing address: <br /> Street Address City Zip <br /> Tenant telephone no.: <br /> Page 3 of 3 <br />